NCT03100526

Patient Aligned Care Team (PACT) Intensive Management (PIM) Project

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 2,210 (actual)
• Sponsor: Veteran Affairs Office of Patient Care Services · Federal
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Purpose: Implement a Patient Aligned Care Team (PACT) model that identifies and proactively manages Veterans at the highest risk for hospital admission and death while the patient is still in the ambulatory care setting. Goal: * Reduce emergency department and urgent care utilization, hospitalization, and mortality in complex, high risk patients * Improve Veteran and staff satisfaction Objectives: * Maintain the patient in the home setting as much as possible * Secure appropriate home environment to facilitate health and well-being * Utilize comprehensive team-based care * Engage appropriate Veteran Health Administration (VHA) programs to provide interdisciplinary, coordinated, and timely management of complex medical issues

Conditions

• Primary Health Care
• Health Care Costs

Interventions

Type	Name	Description
BEHAVIORAL	PACT Intensive Management	Purpose: Implement a Patient Aligned Care Team (PACT) model that identifies and proactively manages Veterans at the highest risk for hospital admission and death while they are still in the ambulatory care setting. Goal: * Reduce emergency department and urgent care utilization, hospitalization, and mortality in complex, high risk patients * Improve Veteran and staff satisfaction Objectives: * Maintain the patient in the home setting as much as possible * Secure appropriate home environment to facilitate health and well-being * Utilize comprehensive team-based care * Engage appropriate VHA programs to provide interdisciplinary, coordinated, and timely management of complex medical issues

Timeline

• Start date: 2013-11-01
• Primary completion: 2017-09-01
• Completion: 2017-09-01
• First posted: 2017-04-04
• Last updated: 2020-05-11